Advances in facial reanimation

James R. Tate, Travis Tate Tollefson

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

PURPOSE OF REVIEW: Facial paralysis often has a significant emotional impact on patients. Along with the myriad of new surgical techniques in managing facial paralysis comes the challenge of selecting the most effective procedure for the patient. This review delineates common surgical techniques and reviews state-of-the-art techniques. RECENT FINDINGS: The options for dynamic reanimation of the paralyzed face must be examined in the context of several patient factors, including age, overall health, and patient desires. The best functional results are obtained with direct facial nerve anastomosis and interpositional nerve grafts. In long-standing facial paralysis, temporalis muscle transfer gives a dependable and quick result. Microvascular free tissue transfer is a reliable technique with reanimation potential whose results continue to improve as microsurgical expertise increases. Postoperative results can be improved with ancillary soft tissue procedures, as well as botulinum toxin. SUMMARY: The paper provides an overview of recent advances in facial reanimation, including preoperative assessment, surgical reconstruction options, and postoperative management.

Original languageEnglish (US)
Pages (from-to)242-248
Number of pages7
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Volume14
Issue number4
DOIs
StatePublished - Aug 2006

Keywords

  • Facial nerve palsy
  • Facial paralysis
  • Reanimation
  • Reconstruction

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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